Senior Coding Auditor

EXL

Healthcare auditing professional reviewing medical coding, claims, and payment integrity cases in Chennai. Validating coding accuracy and resolving edits, disputes, appeals, and denials.

Posted 8/13/2026full-timeChennai • 🇮🇳 IndiaSeniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in medical coding, including CPT, HCPCS, and ICD-10-CM, while ensuring compliance with CMS and payer guidelines. Proven ability to analyze medical records and manage coding disputes effectively, maintaining high productivity and quality standards.

Highest-signal resume keywords

CPC CertificationICD-10-CM ProficiencyMedical Coding ExperienceDenial Management ExpertiseAnalytical Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

CPT CodingHCPCS CodingICD-10-CM CodingNCCI EditsCoding Guidelines AnalysisProvider Documentation ReviewReimbursement MethodologiesCoding Dispute ResolutionQuality Audits ParticipationProductivity Target Achievement

Soft Skills

Analytical ThinkingEffective CommunicationProblem-SolvingIndependent WorkTime Management

Tools & Technologies

MS OfficeHealthcare Applications

Certifications & Qualifications

CPC CertificationCCS Certification

Industry Keywords

Medical CodingProvider Payment IntegrityCMS GuidelinesHIPAA ComplianceOIG ComplianceSurgery CodingE&M CodingAppeals ProcessesPayment Integrity ProgramsQuality Standards

About the role

Key responsibilities & impact

Review and resolve Code Edit, Provider Payment Integrity (PPI), PCI, and Appeals work queues
Analyze medical records, provider documentation, claim history, and coding guidelines
Validate CPT, HCPCS, ICD-10-CM, modifiers, and reimbursement methodologies
Apply CMS, NCCI, Medicare, Medicaid, and commercial payer editing guidelines
Research coding disputes and provide supporting rationale for determinations
Maintain productivity, quality, and turnaround time targets
Escalate complex coding scenarios and policy interpretation issues appropriately
Update productivity, clarification, and audit logs daily
Participate in internal and external quality audits
Identify trends and recommend process improvements
Ensure compliance with HIPAA, OIG, and organizational policies
Respond promptly to client and leadership communications

Requirements

What you’ll need

Life Science, Paramedical, or Healthcare-related degree
Active CPC or CCS certification
Strong knowledge of CPT, HCPCS, ICD-10-CM, NCCI edits, CMS guidelines, and payer policies
Proficiency in MS Office and healthcare applications
Willingness to work Eastern (US) shift when required
Minimum 2+ years of medical coding experience
Mandatory experience in Surgery, E&M, or Denial Management
Experience in code edit review, appeals, grievances, provider disputes, or payment integrity programs is an advantage
Strong analytical and critical-thinking skills
Excellent medical record review and interpretation skills
Effective written and verbal communication
Ability to work independently and manage multiple priorities
Knowledge of denial management and appeals processes
Strong problem-solving and research capabilities
Quality Accuracy ≥ 98%
Achievement of productivity targets
SLA/TAT adherence
Compliance with process and documentation standards
Minimal audit defects and rework

Benefits

Comp & perks

Full-time schedule of 40 hours per week
Weekends off, subject to project need
Shift timing based on business requirements